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Workers' Compensation History

Contractor License #	514547
Contractor Name	ANDY KAHN

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 07/01/2019 Cancellation Date 08/01/2021

Insurance Company EXEMPT Policy # Effective Date 04/02/2018 Expiration Date 07/01/2019

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9102995 Effective Date 06/17/2015 Cancellation Date 03/22/2018

Insurance Company EXEMPT Policy # Effective Date 07/25/2013 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 06/05/2006 Expiration Date 07/25/2013

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 238-0001281 Effective Date 04/09/2004 Cancellation Date 04/09/2006

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1507324 Effective Date 04/09/2001 Expiration Date 04/09/2005

Insurance Company EXEMPT Policy # Effective Date 04/06/1998 Expiration Date 04/09/2001

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1355466 Effective Date 06/01/1995 Cancellation Date 08/26/1997